The Washington Medical Commission (WMC) has officially restricted the medical license of Guito Cassagnol Wingfield (License #00048810) following a formal hearing conducted in June. The decision by the WMC was based on findings that Dr. Guito Wingfield inappropriately prescribed ivermectin to five patients for COVID-19 infections.
The WMC determined that Dr. Wingfield failed to adequately document the rationale for prescribing ivermectin, a medication not FDA-approved for COVID-19 treatment. Furthermore, he did not properly inform patients about the off-label use of ivermectin and its non-FDA approval status for COVID-19. Dr. Wingfield also neglected to perform a necessary risk stratification analysis of each patient’s medical condition before prescribing the medication. Crucially, discussions regarding alternative, approved COVID-19 treatments were not held with these patients.
As a result of these findings, the WMC issued a Final Order that places significant restrictions on Dr. Guito Wingfield’s medical practice. He is now prohibited from prescribing ivermectin for any uses not approved by the FDA. Additionally, Dr. Wingfield is restricted from prescribing medications or providing medical care to any patient without first establishing a bona fide physician-patient relationship. This relationship must be formed through an in-person consultation or a real-time video consultation, which includes taking a comprehensive patient history and conducting a physical examination.
Beyond these prescribing limitations, the Order mandates several further actions for Dr. Wingfield. He is required to proactively inform all eligible patients that monoclonal antibodies represent an available and effective treatment option for COVID-19 infections. He must also educate patients about the effectiveness of COVID-19 vaccinations in preventing severe illness. To ensure his knowledge is current, Dr. Wingfield is obligated to regularly review the Centers for Disease Control (CDC) and UpToDate websites for the most recent clinical guidelines on COVID-19. Continuing medical education is also mandated, requiring Dr. Wingfield to complete courses specifically focused on the prevention, treatment, and management of COVID-19. He must also undertake courses in medical ethics and proper record-keeping practices. Finally, Dr. Wingfield is required to pay a monetary fine of $5000.
For those seeking more detailed legal documentation pertaining to this case, all relevant documents are publicly accessible online through the Department of Health (DOH) Provider Credential Search tool: Provider Credential Search.
This public notice is issued to ensure compliance with Washington State law, specifically RCW 18.130.110.
The Washington Medical Commission is dedicated to its mission of safeguarding patient safety and upholding the high standards of the medical profession. This is achieved through rigorous licensing procedures, the development and enforcement of medical regulations, disciplinary actions when necessary, and ongoing educational initiatives for medical professionals and the public. More information about the Washington Medical Commission can be found on their website at wmc.wa.gov. For the latest updates, follow the WMC on social media platforms including Facebook and Twitter.
